Browsing by Author "Parreira, Pedro"
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- Adaptação para português da Escala Multidimensional do Sentido de HumorPublication . José, Helena; Parreira, PedroO sentido de humor é um fenómeno complexo, de natureza claramente individual, que surge intimamente ligado ao bem-estar, desempenhando um papel bastante importante na vida das pessoas, sendo reconhecido como um mecanismo útil para lidar com situações difíceis. Dado que existem diferentes tipos de humor que se associam a diferentes respostas do indivíduo e a diferentes situações, torna-se importante conhecer as dimensões do humor, através da utilização de instrumentos fiáveis. Neste sentido, este estudo, contribui para a adaptação da MSHS (Multidimensional Sense of Humor Scale), de Thorson & Powell (1993a) para a população portuguesa. A análise global dos resultados mostra que a adaptação para português do instrumento Multidimensional Sense of Humor Scale apresenta valores psicométricos satisfatórios, adequando-se para avaliação do sentido de humor nas suas dimensões.
- Baropodometric assessment of the podiatric profile of nursing students in clinical settings: a study protocolPublication . Bernardes, Rafael A.; Caldeira, Silvia; Parreira, Pedro; Sousa, Liliana B.; Almeida, Inês F.; Santos-Costa, Paulo; Paiva-Santos, Filipe; Cruz, Arménio GuardadoIntroduction: Nursing students are exposed to increased risks of developing foot and ankle disorders due to prolonged standing and walking positions during clinical settings. This can lead to high dropout rates from nursing degree, thus contributing to a future shortage in nursing professionals. This protocol aims to develop a study to understand the influence of prolonged standing and walking positions on nursing students' foot health, and specifically to study the relationship between the podiatric profile (regional force and pressure exerted on the foot) and related signs and symptoms. Methods and Analysis: A prospective observational cohort study will be conducted with 194 nursing students. Participants will be asked to walk through a baropodometric platform before and after a 5-month clinical training session. Assessment will focus on the change in podiatric profile, namely foot posture and foot function, at 5 months, and changes in foot health at 5 months. The study will start in January 2022 and it's expected to end by June 2022. Discussion: The study aims to perform an innovative assessment of nursing students' podiatric profile, which will allow for a comprehensive description of foot/ankle changes and their relationship with prolonged standing and walking contexts. Ethics and Dissemination: The study was approved by The Ethical Committee of the Health Sciences Research Unit: Nursing (UICISA: E), of the Nursing School of Coimbra (ESEnfC), with the approval code nr. P799_07_2021. The study was also recorded in ClinicalTrials.gov on the number NCT05197166. Findings will be used to publish articles in peer-review scientific journals and oral communications and posters at scientific meetings.
- Brief report on double-chamber syringes patents and implications for infusion therapy safety and efficiencyPublication . Sousa, Liliana B.; Santos-Costa, Paulo; Marques, Inês A.; Cruz, Arménio; Salgueiro-Oliveira, Anabela; Parreira, PedroThis review aimed to map the existing patents of double-chamber syringes that can be used for intravenous drug administration and catheter flush. A search was conducted in the Google patents database for records published prior to 28 October 2020, using several search terms related to double-chamber syringes (DCS). Study eligibility and data extraction were performed by two independent reviewers. Of the initial 26,110 patents found, 24 were included in this review. The 24 DCS that were found display two or more independent chambers that allow for the administration of multiple solutions. While some of the DCS have designated one of the chambers as the flushing chamber, most patents only allow for the sequential use of the flushing chamber after intravenous drug administration. Most DCS were developed for drug reconstitution, usually with a freeze-dried drug in one chamber. Some patents were designed for safety purposes, with a parallel post-injection safety sheath chamber for enclosing a sharpened needle tip. None of the DCS found allow for a preand post-intravenous drug administration flush. Given the current standards of care in infusion therapy, future devices must allow for the sequential use of the flushing chamber to promote a pre-administration patency assessment and a post-administration device flush.
- Effectiveness of long-term health care in home context versus institutional care for the elderly dependentPublication . Fonseca-Teixeira, Susana; Parreira, Pedro; Freitas, Maria João; Mónico, Lisete; Mariano, Lorenzo; Alonso, Jose García; Amado, JoãoIntroduction: Demographic aging and changes in the epidemiological pattern have led to an increase in health expenditures, particularly long-term care. In this way, home support is pointed out as an important strategy with added benefits. Objective: This review aims to identify and synthesize scientific evidence on the health gains of long-term care in a home context versus institutional care for dependent elderly people. Method: A review of the literature published in the last 10 years in the EBSCOhost database was carried out in three languages (Portuguese, English and Spanish). The descriptors of Medical Subject Headings used were: “Nursing care”, “Health Services Accessibility”, “Long-term care”, “Home care services”, “At-home”, “Nursing home”, “Cost benefit analysis” and “Efficiency”. Results: The results indicate that home-based care may be a lower cost alternative than institutional long-term care. The focus on home-based care is also linked to improved quality of care, lower access inequalities, more equitable and accessible care, reflecting not only the health outcomes of the population but also a reduction in the total cost of health care, resulting in affordable and sustainable health outcomes. Evidence has shown that interventions by multidisciplinary teams are more efficient and home-based care users have improved health status, lower admission rates to the emergency department, faster recovery and less likely to be hospitalized for adverse events, cutaneous infections and pressure ulcers. The empowerment of patients and caregivers in the care transition has also been shown to be an effective response in reducing rehospitalization rates, reflecting lower hospital costs. On the other hand, studies indicate that the cost-effectiveness of home-based care is more effective only for less dependent elderly people and that they have access to informal caregivers. Conclusion: Cost containment of institutional care and investment in home-based care are major challenges in increasing the efficiency of long-term and continuing care expenditures as well as greater partnership with social services, allow citizens to access the care they need more quickly.
- Evidence-informed development of a bundle for peripheral intravenous catheterization in Portugal: a delphi consensus studyPublication . Santos-Costa, Paulo; Paiva-Santos, Filipe; Sousa, Liliana B.; Bernardes, Rafael A.; Ventura, Filipa; Salgueiro-Oliveira, Anabela; Parreira, Pedro; Vieira, Margarida; Graveto, JoãoContrary to many international settings, there are no clinical guidelines for peripheral intravenous catheter (PIVC) insertion and maintenance in Portugal. We sought to derive an international consensus on a PIVC bundle that could guide Portuguese nurses’ clinical decision-making in this scope. Methods: Two international vascular access specialist groups participated in an online Delphi panel. During the first round, specialists (n = 7) were sent a summary report from a previous observational study conducted in a surgical ward in Portugal. Based on the report findings, specialists were asked to provide five to eight PIVC insertion and maintenance interventions. Then, another set of specialists (n = 7) scored and revised the recommendations until a consensus was reached (≥70% agreement). The PIVC bundle was made available and discussed with the surgical ward’s nurses. Results: After three rounds, a consensus was achieved for five evidence-informed interventions: (i) involve the person and assess the peripheral venous network; (ii) maintain an aseptic no-touch technique; (iii) ensure proper catheter dressing and fixation; (iv) perform catheter flush & lock; (v) test the peripheral venous catheter’s functionality and performance at each shift. Conclusion: The final version of the PIVC bundle achieved consensus among international experts. Despite the positive feedback provided by the ward nurses, future studies are warranted to assess its effectiveness in standardizing PIVC care delivery and its potential implications for care outcomes in Portuguese clinical settings.
- A factor-analytic study of the multidimensional sense of humor scale with a portuguese samplePublication . José, Helena; Parreira, Pedro; Thorson, James A.; Allwardt, DebraSense of humor has been recognized as an important adaptive mechanism as well as a great strength in dealing with adversity. Individual sense of humor is a multidimensional construct, intimately connected with peoples’ well-being. The purpose of this paper is to validate the use of the Multidimensional Sense of Humor Scale (MSHS) with a Portuguese sample using the principal components factor analysis with Varimax rotation and a correlational analysis. Our findings support a five-factor model in understanding the dimensions of personal sense of humor
- Foot and ankle disorders in nurses exposed to prolonged standing environments: a scoping reviewPublication . Bernardes, Rafael A.; Caldeira, Sílvia; Parreira, Pedro; Sousa, Liliana B.; Apóstolo, João; Almeida, Inês F.; Santos-Costa, Paulo; Stolt, Minna; Guardado Cruz, ArménioBackground: Prolonged standing environments constitute an occupational risk factor for nurses, particularly for developing foot and ankle disorders. The definitions and potential relationship to hours spent walking or standing are poorly understood. This scoping review aimed to synthesize the main disorders found on nurses’ ankles and feet, their prevalence, the influence of hours spent walking or standing, and gender differences. Methods: This review followed a previously published protocol. Primary and secondary studies were retrieved from relevant databases from December 2020 to March 2021. Potential articles were collated to Mendeley, and two independent reviewers assessed the title and abstracts. Studies meeting inclusion criteria were included. Two researchers retrieved and reviewed the full text of these studies independently. A predetermined extraction tool was used to retrieve relevant data, summarized in a tabular and narrative format. Findings: The most common disorder was pain, followed by numbness, burning feet, bunions, structural deformities, and calluses. Prevalence differed among studies, depending on settings and specific local policies. Discussion: Various foot and ankle disorders and related variables have been found, with clear gaps that may be addressed in the future. Conclusion/Applications to Practice:: Few studies have focused on nurses’ foot and ankle disorders. Mapping signs and symptoms may contribute to the future development of preventive interventions for nurses’ workplaces.
- Improving peripheral venous catheterization-related outcomes in oncology patients: an action research study in PortugalPublication . Santos-Costa, Paulo; Sousa, Liliana B.; Costeira, Cristina; Santos, Filipe; Salgueiro-Oliveira, Anabela; Parreira, Pedro; Vieira, Margarida; Graveto, João
- Nurses' involvement in the development and usability assessment of an innovative peripheral intravenous catheterisation pack: a mix-method studyPublication . Santos-Costa, Paulo; Alves, Mariana; Sousa, Carolina; Sousa, Liliana B.; Paiva-Santos, Filipe; Bernardes, Rafael A.; Ventura, Filipa; Salgueiro-Oliveira, Anabela; Parreira, Pedro; Vieira, Margarida; Graveto, JoãoGuaranteeing peripheral venous access is one of the cornerstones of modern healthcare. Recent evidence shows that the lack of adequate clinical devices can result in the provision of substandard care to patients who require peripheral intravenous catheterization (PIVC). To address this challenge, we aimed to develop a PIVC pack for adult patients and assess the usability of this new device. Methods: Following a mix-method design, the PIVC pack development and usability assessment were performed in two phases with the involvement of its potential end-users (nurses). In phase one (concept and semi-functional prototype assessment), focus group rounds were conducted, and a usability assessment questionnaire was applied at each stage. In phase two (pre-clinical usability assessment), a two-arm crossover randomised controlled trial (PIVC pack versus traditional material) was conducted with nurses in a simulated setting. Final interviews were conducted to further explore the PIVC pack applicability in a real-life clinical setting. Results: High average usability scores were identified in each study phase. During the pre-clinical usability assessment, the PIVC pack significantly reduced procedural time (Z = −2.482, p = 0.013) and avoided omissions while preparing the required material (Z = −1.977, p = 0.048). The participating nurses emphasised the pack’s potential to standardise practices among professionals, improve adherence to infection control recommendations, and enhance stock management. Conclusions: The developed pack appears to be a promising device that can assist healthcare professionals in providing efficient and safe care to patients requiring a PIVC. Future studies in real clinical settings are warranted to test its cost-effectiveness.
- Nurses’ practices in the peripheral intravenous catheterization of adult oncology patients: a mix-method studyPublication . Santos-Costa, Paulo; Paiva-Santos, Filipe; Sousa, Liliana B.; Bernardes, Rafael A.; Ventura, Filipa; Fearnley, William David; Salgueiro-Oliveira, Anabela; Parreira, Pedro; Vieira, Margarida; Graveto, JoãoA significant number of adult oncology patients require at least one peripheral intravenous catheter to fulfill their therapeutic plan. Recent evidence indicates that catheter failure rates are high in this cohort, impacting care outcomes and patient experience during cancer treatment. This reality represents a challenge to nurses worldwide since in most international settings they are responsible for delivering quality care during the insertion and maintenance of such devices. This study aims to explore current nursing practices regarding the insertion, maintenance, and surveillance of peripheral intravenous catheters in oncology patients. A two-phase mix-method study was conducted with the nursing team from the surgical ward of a large oncology hospital in Portugal. In phase one (observational prospective study), nurses’ practices during catheter insertion and maintenance were observed by the research team and recorded using standardized instruments and validated scales. In phase two, three online focus groups were conducted with the nursing team to present the results observed in phase one and explore their perceptions of current practices. All ethical principles were assured throughout the study. Significant divergent practices were observed and identified by the nurses, especially concerning patient involvement, nurses’ adherence to the aseptic, non-touch technique, catheter stabilization and dressing, and catheter flushing and locking. Such practices may partially explain the high complication rate found (26%) and substantiate the need for future intervention in this field.